PETER CARRASCO


Address: 1160 S Grand Ave, Glendora, CA 91740-5000
Phone: 6263355980

PETER CARRASCO (NPI# 1396068219) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1396068219
Entity Type Individual
Full Name PETER CARRASCO
Practice Address 1160 S Grand Ave
Glendora
CA 91740-5000
Mailing Address Po Box 473
Lake Forest
CA 92609-0473
Practice Telephone 6263355980
Enumeration Date 2010-03-05
Last Update Date 2010-03-05
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 225400000X Rehabilitation Practitioner Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Office Location

Street Address 1160 S GRAND AVE
City GLENDORA
State CA
Zip Code 91740-5000

Providers in the same location

NPI Name Taxonomy Address Enumeration
1790895092 Pacific Clinics Community/Behavioral Health 1160 S Grand Ave, Glendora, CA 91740-5000 2006-08-30
1780292722 Victoria Ashley Jakaub Student in an Organized Health Care Education/Training Program 1160 S Grand Ave, Glendora, CA 91740-5000 2020-07-15
1801414313 Dania Salgado Student in an Organized Health Care Education/Training Program 1160 S Grand Ave, Glendora, CA 91740-5000 2020-07-10
1457979387 Amanda Bianca Corral Student in an Organized Health Care Education/Training Program 1160 S Grand Ave, Glendora, CA 91740-5000 2020-07-07
1326670019 Michelle Belling Licensed Psychiatric Technician 1160 S Grand Ave, Glendora, CA 91740-5000 2020-02-10
1215581657 Chelcei Villarreal Muro Case Manager/Care Coordinator 1160 S Grand Ave, Glendora, CA 91740-5000 2019-07-24
1679139471 Ahrum Kwon Student in an Organized Health Care Education/Training Program 1160 S Grand Ave, Glendora, CA 91740-5000 2019-05-16
1629539424 Jessica Aileen Nuno Counselor 1160 S Grand Ave, Glendora, CA 91740-5000 2019-03-26
1366938243 Amy Elizabeth Maljian Counselor 1160 S Grand Ave, Glendora, CA 91740-5000 2018-07-03
1316431083 Angela Pei Wu Counselor 1160 S Grand Ave, Glendora, CA 91740-5000 2018-06-18
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1215559638 Kenny Tokuji Michioka Nurse Practitioner 1208 S Barranca Ave Unit C, Glendora, CA 91740 2020-05-07
1629535380 Sudario Home Health Care, Inc. Home Health 620 W Riute 66 Suite 220a, Glendora, CA 91740 2019-02-28
1659872711 Matthew Christian Mendoza Counselor 1160 S Grand Avenue, Glendora, CA 91740 2018-02-23
1972029981 Keyauna C Thomas Case Manager/Care Coordinator 987 Shady Lane, Glendora, CA 91740 2017-08-21
1356891055 Stephanie L Contreras Counselor 2200 E Route 66 Ste 200, Glendora, CA 91740 2016-10-06
1912454547 Natalie Sayegh Dentist 102 W. Route 66, Suite G, Glendora, CA 91740 2016-09-01
1255715744 Daily Care,llc Non-emergency Medical Transport (VAN) 623 Lemar Park Drive, B, Glendora, CA 91740 2015-07-14
1245661776 Rjdj Hospice Care, Inc. Hospice Care, Community Based 631 E. Arrow Hwy Ste E, Glendora, CA 91740 2013-12-10
1285061168 Nam Dao Nurse Practitioner 1377 S. Grand Ave, Glendora, CA 91740 2013-10-09
1508292384 Keaunna Sonae Knox Speech-Language Pathologist 420 E. Baseline St Suite D & E, Glendora, CA 91740 2013-09-24
Find all providers in zip 91740

Taxonomy Information

Taxonomy Code 225400000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Rehabilitation Practitioner

Taxonomy Definition

A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1588896567 Veronica A Zendejas Rehabilitation Practitioner 2200 E Route 66 Ste 100, Glendora, CA 91740-4662 2009-08-10
1275787301 Christine Deborah Price Rehabilitation Practitioner 1222 S Soderberg Ave, Glendora, CA 91740-4993 2008-11-17
1780703041 Tom Rayle Rehabilitation Practitioner 1771 S Grand Ave, Apt #41, Glendora, CA 91740-5436 2007-03-28
1699892612 Tracy Lynn Wilson Rehabilitation Practitioner 2200 E Route 66, Glendora, CA 91740 2007-03-23
1447392782 Myrna Diaz Yepez Rehabilitation Practitioner 1160 South Grand Avenue, Glendora, CA 91740 2007-02-13
1295369734 Sandra Castaneda Rehabilitation Practitioner 2200 E Route 66 Ste 200, Glendora, CA 91740-4699 2020-02-24
1326680521 Briana Acevedo Rehabilitation Practitioner 2200 E Route 66 Ste 100, Glendora, CA 91740-4662 2019-10-09
1528622032 Hannah M Price Rehabilitation Practitioner 2200 E Route 66, Glendora, CA 91740-4659 2019-04-30
1366904500 Andrew Alberto Pantoja Rehabilitation Practitioner 2200 E Route 66, Glendora, CA 91740-4659 2019-04-05
1790250843 Gabriela Stephany Estrada-arreguin Rehabilitation Practitioner 2200 E Route 66, Glendora, CA 91740-4659 2018-10-04
Find all providers in GLENDORA

Competitor

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City GLENDORA
Zip Code 91740

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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